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Precourse 11: International Symposium: Rheumatological Diseases and Medical Challenges for the Hand Surgeon

Thursday, October 3, 2013

7:00 – 11:00 AM

Moscone West 3018

Co-Chairs: Kevin C. Chung, MD, MS; Daniel B. Herren, MD

Precourse Fees:

ASSH Member - $195
ASSH Senior Member - $145
Non-Member Surgeon - $225
Allied Health - $125
Resident/Fellow - $75

Includes printed & electronic syllabus.


The treatment of the rheumatoid hand continues to evolve and is influenced by individual surgeon’s experiences as well as emerging evidence to support or refute some of these treatments.  This comprehensive precourse invited surgeons from many regions of the world to share their experiences on the management of the rheumatoid hand and wrist. Despite the decreased number of rheumatoid hand and wrist procedures done in the US, there are patients who are refractory to the biologic medications, and for countries that cannot afford the use of these expensive medications, hand and wrist deformities are common occurrences that require a thoughtful approach regarding when and what to do for these patients who are hampered in their daily activities because of these deformities. 

Learning Objectives:

At the conclusion of the program, participants will be able to:
  • Understand the biomechanics of rheumatoid hand and wrist deformity.
  • Discuss the evidence-based approach in evaluating a rheumatoid patient with hand and wrist deformity based on data from the literature, surgeon’s experiences, and equally importantly, patient preferences.
  • Explain the various options by tailoring them to a particular deformity pattern.
  • Identify the pathologies in the hand and wrist that require prophylactic treatments to avert future complications.
Audience Level: intermediate
Keyword(s): Rheumatoid arthritis, joint replacement, biomechanics, joint fusion, arthroplasty, arthrodesis
Category: hand and wrist
CME: The ASSH designates this live activity for a maximum of 3.75 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The ASSH is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


Gregory I. Bain, FRACS, PhD, Australia
Philippe Bellemere, MD, France
Michel E.H. Boecksstyns, MD, Denmark
Kevin C. Chung, MD, MS, USA 
Daniel B. Herren, MD, Switzerland
Guillaume Herzberg, MD, PhD, France
Pak Cheong Ho, MD, Hong Kong
Hajime Ishikawa, MD, Japan
Philippe Kopylov, MD, PhD, Sweden
Alberto L. Lluch, MD, PhD, Spain
Ladislav Nagy, MD, Switzerland
Marco Rizzo, MD, USA 
Arnold-Peter C. Weiss, MD, USA



​7:00 ​The new medication in RA: the surgeons perspective Daniel B. Herren, MD, Switzerland​
​7:10 ​Clinical research: where is the focus in RA patients? ​Kevin C. Chung, MD, MS, USA


​7:20 ​Biomechanics in the RA wrist: do we understand what's going on? ​Gregory I. Bain, FRACS, PhD, Australia
​7:35 ​Wrist surgery in RA: concepts of indication ​Marco Rizzo, MD, USA
​7:50 ​The distal radio-ulnar joint in RA: where it all starts ​Ladislav Nagy, MD, Switzerland
​8:05 ​Soft tissue procedures around the RA: wrist: what works? ​Phillipe Bellemère, MD, France
​8:20 ​Total wrist arthroplasty in RA: does it really work? ​Guillaume Herzberg, MD, PhD, France
​8:35 ​Arthroscopic wrist surgery in RA: what makes sense? ​PC Ho, MD, Hong Kong
​8:50 ​Partial wrist fusion: where are the limits? ​Hajime Ishikawa, MD, Japan
​9:05 ​Patient-focused wrist outcome instrument: do impairments represent functional ability? ​Alberto L. Lluch, MD, PhD, Spain
​9:20 ​- - - BREAK - - -
​9:35 ​Case discussion: WRIST ​Chair: Daniel B. Herren, MD, Switzerland


​9:55 ​The PIP joint in RA: is joint replacement ever indicated? ​Philippe Kopylov, MD, PhD, Sweden
​10:10 ​The thumb saddle joint in RA: is treatment needed? ​Michel E.H. Boecksstyns, MD, Denmark
​10:25 ​The MP joint in RA: key to treat the finger deformities? ​Arnold-Peter C. Weiss, MD, USA
​10:40 ​Case discussion: FINGER  ​Chair: Kevin C. Chung, MD, MS, USA

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